ATI RN
ATI RN Maternal Newborn 2023 Questions
Extract:
A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.
Question 1 of 5
Which of the following questions should the nurse ask to assess the client's dietary intake?
Correct Answer: C
Rationale: Rationale for choice C: Asking how much protein the client eats in a day assesses the client's overall dietary intake and can provide valuable information about their nutritional status. Protein is an essential macronutrient, and inadequate intake can lead to various health issues. By inquiring about protein consumption, the nurse can evaluate if the client is meeting their nutritional needs.
Rationale for other choices:
A: Asking about the last time the client ate meat is specific and may not give a comprehensive picture of their overall dietary habits.
B: Asking if the client has considered eating shellfish is too specific and does not address their current dietary intake.
D: Inquiring about a Vitamin C supplement is not directly related to assessing the client's overall dietary intake.
Extract:
A nurse is caring for a client immediately following the delivery of a stillborn fetus.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action allows the client to have mementos of their baby and aids in the grieving process. Providing photos can help the client in acknowledging the reality of the loss and facilitate closure.
A: Instructing the client that an autopsy should be performed within 24 hr is not within the nurse's scope of practice and may not be culturally or emotionally appropriate.
B: Informing the client that the law requires them to name the fetus is inaccurate and insensitive.
D: Limiting the amount of time the fetus is in the client's room may not align with the client's emotional needs and can be perceived as callous.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with photos of the fetus. This action is appropriate as it allows the client to have a tangible memory of their loss, which can aid in the grieving process. Providing photos shows empathy and support for the client during a difficult time.
Choice A is incorrect because the decision to perform an autopsy should be discussed with the client based on their wishes and not imposed within a specific timeframe.
Choice B is incorrect as there is no law requiring the naming of a fetus.
Choice D is incorrect as the client should be given the autonomy to decide how long they wish to spend with the fetus in their room.
Extract:
A nurse is caring for a client who is at 36 weeks of gestation and has methicillin-resistant Staphylococcus aureus.
Question 4 of 5
Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: C
Rationale: The correct answer is C: Contact precautions. Contact precautions are necessary when the patient is infected or colonized with a microorganism that can be easily transmitted by direct or indirect contact. This includes wearing gloves and gowns when entering the patient's room. Airborne precautions (
A) are for pathogens that remain suspended in the air and require special air handling. Protective environment (
B) precautions are used for patients with compromised immune systems. Droplet precautions (
D) are for pathogens transmitted through respiratory droplets. The other choices are not relevant to the scenario described in the question.
Extract:
A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B.
Question 5 of 5
Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Fortified soy milk. Soy milk is a good source of protein, calcium, and vitamin D, which are important for bone health. Fortified soy milk provides additional nutrients like B12, which is important for nerve function. Raw carrots (
A) lack essential nutrients found in fortified soy milk. Brown rice (
B) lacks the same level of nutrients as soy milk. Fresh citrus fruits (
C) are good sources of vitamin C, but do not provide the same essential nutrients as fortified soy milk.